Individual
CHRISTOPHER IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1303 HIGHWAY 290 E, BRENHAM, TX 77833-5928
(979) 830-7100
(979) 830-0820
Mailing address
2400 CARNATION CT, COLLEGE STATION, TX 77840-4048
(903) 707-1030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2094562
TX
Other
Enumeration date
05/08/2019
Last updated
11/27/2023
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